SUSAN R KELLY APRN
NPI 1659368595
Nurse Practitioner - Psychiatric/Mental Health in Concord, NH

Active since October 05, 2005PECOS Enrolled
280 PLEASANT ST, STE 1, CONCORD, NH 03301(603) 622-8665(833) 413-4978 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan R Kelly Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN R KELLY APRN (NPI 1659368595) is an individual psychiatric/mental health provider in Concord, New Hampshire, licensed in New Hampshire (APRN048042-23) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1659368595
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN R KELLYCredential: APRN
Location Address280 PLEASANT ST, STE 1Concord, NH 03301
Mailing Address280 Pleasant St, Ste 1Concord, NH 03301 · (603) 622-8665 · Fax (833) 413-4978
Fax(833) 413-4978
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateNovember 25, 2024
✔ NPI 1659368595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NH · APRN048042-23✔ Licensed in NH · RN048-042-21
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License 048042-23 (NH)
280 PLEASANT ST, Concord, NH 03301

Other Names 1

Former Name (1)Susan R. Carnegie

Secondary Practice Location 1

Location 130 Canton St., Suite 13Manchester, NH 03103 · Phone (603) 625-1670 · Fax (603) 625-0335

Other Identifiers 1

Other40V001351NH01NH · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan R Kelly Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
280 PLEASANT ST STE 1
Concord, NH 03301
  • Reassigned Medicare billing, New Hampshire enrollment
  • 5 clinicians in this Medicare group
Clinical
86 LAKE ST
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • Medicare enrollment name: Matrix Health Systems PC
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
280 PLEASANT ST
CONCORD, NH 03301
Family Medicine
280 PLEASANT ST
CONCORD, NH 03301
Clinical Medical Laboratory
280 PLEASANT ST
CONCORD, NH 03301
Student in an Organized Health Care Education/Training Program
280 PLEASANT ST
CONCORD, NH 03301
Family Medicine
280 PLEASANT ST
CONCORD, NH 03301
Pediatrics
280 PLEASANT ST
CONCORD, NH 03301
Psychologist
280 PLEASANT ST, SUITE 3
CONCORD, NH 03301
Nurse Practitioner (Family)
280 PLEASANT ST
CONCORD, NH 03301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Kelly's NPI number?

The NPI number for Susan Kelly is 1659368595. It was assigned to this individual provider in the NPPES registry on October 5, 2005. The provider is also known as Susan R. Carnegie.

Where is Susan Kelly located?

Susan Kelly practices at 280 Pleasant St Ste 1, Concord, NH 03301. The listed phone number is (603) 622-8665.

What is Susan Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Susan Kelly enrolled in Medicare?

Yes. Susan Kelly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kelly reassigns Medicare benefits to 2 organizations: Fusion Behavioral Care, LLC (Concord, NH) and Matrix Health Systems P.C. (Burlington, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield list Susan Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Kelly was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.